Interventricular septal dissection: a very infrequent post-surgical complication

Authors

  • Vanessa Escolar Pérez Servicio de Cardiología. Unidad de Insuficiencia Cardíaca. Servicio de Cardiología. Hospital Universitario de Basurto. Bilbao. España
  • Amaia Arregi López Servicio de Cardiología. Unidad de Cuidados Críticos Cardiológicos. Servicio de Cardiología. Hospital Universitario de Basurto. Bilbao. España

DOI:

https://doi.org/10.37615/retic.n6a5

Keywords:

interventricular septal diseection.

Abstract

We present the case of a 75 year-old woman who is sent to our hospital for cardiac surgery. The surgery goes without complications but during the post-operative period the patient presents haemodynamic instability with clinical data that suggests cardiac tamponade, so an echocardiogram is performed. This image technique rejects pericardial effusion and, at the same time, gives the pieces of information needed for the diagnosis of this unusual entity. It is a iatrogenic dissection of the interventricular septum, a very unusual complication, with a very complex treatment and a gloomy prognosis.

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References

Jesús Vargas Barrón. Ruptura ventricular por hematoma disecante intramiocárdico. Archivos de Cardiología de México. Vol. 77 Supl. 4/Octubre-Diciembre 2007: S4, 152-156.

Kyung-Woo Park, Jun-Hee Lee, Jong-Jin Kim et cols. Interventricular Septal Dissection. Clin. Cardiol. 27, 100 (2004). DOI: https://doi.org/10.1002/clc.4960270213

Branco LM1, Feliciano J, Cacela D et cols. Giant septal cavity due to coronary artery fistula and ventricular septal dissection after cardiac surgery. European Journal of Echocardiography (2008) 9, 163–166 doi: https://doi.org/10.1016/j.euje.2007.06.020. DOI: https://doi.org/10.1016/j.euje.2007.06.020

Jun Ho Lee, Seok Chol Jeon, Hyo-Jun Jang, et cols. Left Ventricular Pseudoaneurysm after Valve Replacement. Korean J Thorac Cardiovasc Surg 2015; 48: 63-66. DOI: https://doi.org/10.5090/kjtcs.2015.48.1.63

Wu Q, Xu J, Shen X, Wang D, Wang S: Surgical treatment of dissecting aneurysm of the interventricular septum. Eur J Cardiothorac Surg 2002; 22 (4): 517–520. DOI: https://doi.org/10.1016/S1010-7940(02)00375-5

Frances C, Romero A, Grady D. Left ventricular pseudoaneurysm. J Am Coll Cardiol. 1998; 32: 557–6. DOI: https://doi.org/10.1016/S0735-1097(98)00290-3

Published

2017-12-31

How to Cite

1.
Escolar Pérez V, Arregi López A. Interventricular septal dissection: a very infrequent post-surgical complication. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2017 Dec. 31 [cited 2024 Jul. 3];(6):17-9. Available from: https://imagenretic.org/RevEcocarPract/article/view/72